Licensee Information

Information as of 06/18/2013

Last Updated by Licensee on 08/02/2011

Marlene Marie Brogan - MD

License#:	9600466	License Status:	Inactive	Expire Date:	09/18/2012
Issue Date:	05/25/1996	Renewal Date:	08/06/2012

Licensee General InformationPractice Information Education, Certifications & Area of Practice Memberships, Honors, Awards, & Public Service Academic Appointments & Publications Actions – Regulatory Board, Agency, & Health Care Institution Malpractice Convictions

Licensee General Information

Licensee Limitations

License Limitations:

North Carolina Hospital Admitting Privileges

None Reported

Out of State Active/Inactive Licenses

South Carolina

Out of Country Active/Inactive Licenses

None Reported

Year of Birth: 1965

Education, Certifications & Area of Practice

Medical School

East Tennessee St. University

Year of Graduation:

1992

Post Graduate Training

"Last Year of Training" does not necessarily mean that the licensee completed his/her training program. (In NC, a physician can be licensed without completing such a program.)
Institution	Specialty	State	Country	Training Program	Last Year of Training
university of south carolina	neuropsychiatry	sc	usa	Residency	1996
university of south carolina	neuropsychiatry	sc	usa	Internship	1993

Current ABMS or AOA Board Certification and Year of Certification/Recertification

None Reported

Area of Practice

Area Of Practice	Primary Area of Practice
Addiction Medicine
Emergency Medical Services
Psychiatry	Yes

Years of active clinical practice:

Actions – Regulatory Board, Agency, & Health Care Institution

North Carolina Medical Board Public Actions

This section indicates whether the North Carolina Medical Board has taken public action regarding the licensee. Actions may or may not be disciplinary in nature. Click on the link or links below to see an electronic copy of public documents associated with the licensee.

Certain public documents, such as hearing transcripts, are not posted on this site but may be obtained by contacting the Board.

NCMB public actions are posted on this site indefinitely.

Date	Description	Link
09/20/2012	Surrender Acknowledgement Letter	View
09/18/2012	Voluntary Surrender of License	View

North Carolina Medical Board Reentry Agreement

None Reported

Other Regulatory Board or Agency Public Actions

None Reported

Health Care Institution Suspensions and Revocations

None Reported

Daymark Recovery Services	704-939-1100
284 Executive Park Dr, Ste 100
Concord, NC 28025

Days patients are seen at this practice:
Practice Philosophy:
Non-English languages spoken by licensee:
Non-English languages spoken in office:
Participates in Medicare:
Accepting new Medicare Patients:
Participates in Medicaid:
Accepting new Medicaid Patients:
Uses electronic medical records:

Licensee Information

Licensee General Information

Licensee Limitations

Active License

Inactive License

North Carolina Hospital Admitting Privileges

Out of State Active/Inactive Licenses

Out of Country Active/Inactive Licenses

Year of Birth: 1965

Practice Information

Address

Information

Education, Certifications & Area of Practice

Medical School

Post Graduate Training

Current ABMS or AOA Board Certification and Year of Certification/Recertification

Area of Practice

Memberships, Honors, Awards, & Public Service

Current Membership in Medical Professional Organizations

Honors and Awards

Professional Service

Academic Appointments & Publications

Current Academic Appointments

Publications

Actions – Regulatory Board, Agency, & Health Care Institution

North Carolina Medical Board Public Actions

North Carolina Medical Board Reentry Agreement

Other Regulatory Board or Agency Public Actions

Health Care Institution Suspensions and Revocations

Malpractice

Malpractice Information

Convictions

Misdemeanor/DUI/DWI Conviction Information

Felony Conviction Information

Reason Code	License Number	Subcategory	Issue Date	Expire Date
Surrendered	9600466		05/25/1996	09/18/2012